Use of Hirudo medicinalis in paediatric reconstructive surgery
| Autor: | Paola Ferrarese, Stefano Spanio di Spilimbergo, Enrico Valerio, Giusy Castiglione, Marco Olivo |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery biology business.industry 030230 surgery Anastomosis medicine.disease biology.organism_classification Surgery Discontinuation Food and drug administration 03 medical and health sciences Hirudo medicinalis 0302 clinical medicine medicine.anatomical_structure Current practice Pediatrics Perinatology and Child Health medicine Fibroma Vein business |
| Zdroj: | Archives of disease in childhood - Education & practice edition. 103:203-204 |
| ISSN: | 1743-0593 1743-0585 |
| DOI: | 10.1136/archdischild-2017-313306 |
| Popis: | Mandible reconstruction with a scapular osteomyocutaneous flap was performed in a 12-year-old boy after removal of a desmoid fibroma. Onset of flap venous congestion led to early surgical re-exploration, which did not reveal any vascular or blood flow anomaly of the flap pedicle’s vein at the anastomosis site. Medicinal leeches (ML) application was then started (figure 1); an intensive schedule was followed for the first 4 days, subsequently tapered until discontinuation in accordance with congestion reduction. On hospital discharge, overall excellent flap reperfusion was achieved (figure 2). Figure 1 Leeches application. Figure 2 Final result on hospital discharge. 1. Which statement reflects the history of ML application? 1. They only have been used after approval as a medical device by the American Food and Drug Administration (FDA) in 2004. 2. ML use dates back to 3500 years ago, and remained frequently used in current practice. 3. First reports of ML use as a medical … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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